NPI: 1124409552 · CASTLE ROCK, CO 80104 · General Practice Dentistry · NPI assigned 06/11/2015
Authorized official MELLOR, CRAIG controls 12+ related entities in our dataset. Read more
| Authorized Official | MELLOR, CRAIG (PC OWNER) |
| Parent Organization | MODERN DENTAL PROFESIONALS CO PC |
| NPI Enumeration Date | 06/11/2015 |
Other providers sharing the same authorized official: MELLOR, CRAIG
| Provider | City | State | Total Paid |
|---|---|---|---|
| MODERN DENTAL PROFESSIONALS CO PC | THORNTON | CO | $360K |
| MODERN DENTAL PROFESSIONALS CO PC | AURORA | CO | $152K |
| MODERN DENTAL PROFESSIONALS CO PC | LONGMONT | CO | $72K |
| MODERN DENTAL PROFESSIONALS CO PC | ARVADA | CO | $65K |
| MODERN DENTAL PROFESSIONALS COLORADO PC | COLORADO SPRINGS | CO | $44K |
| MODERN DENTAL PROFESSIONALS CO PC | WESTMINSTER | CO | $39K |
| MODERN DENTAL PROFESSIONALS CO PC | PARKER | CO | $35K |
| MODERN DENTAL PROFESSIONALS CO PC | LAKEWOOD | CO | $20K |
| MODERN DENTAL PROFESSIONALS CO PC | FORT COLLINS | CO | $17K |
| MODERN DENTAL PROFESSIONALS CO PC | COLORADO SPRINGS | CO | $7K |
| MODERN DENTAL PROFESSIONALS CO PC | DENVER | CO | $2K |
| MODERN DENTAL PROFESSIONALS CO PC | HIGHLANDS RANCH | CO | $792.21 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 877 | $28K |
| 2019 | 581 | $16K |
| 2020 | 880 | $55K |
| 2021 | 1,032 | $79K |
| 2022 | 206 | $9K |
| 2023 | 317 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 355 | 204 | $58K |
| D0150 | Comprehensive oral evaluation - new or established patient | 798 | 796 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 170 | 111 | $23K |
| D1110 | Prophylaxis - adult | 482 | 480 | $20K |
| D0330 | Panoramic radiographic image | 342 | 342 | $17K |
| D0274 | Bitewings - four radiographic images | 337 | 337 | $10K |
| D0120 | Periodic oral evaluation - established patient | 412 | 410 | $9K |
| D0140 | Limited oral evaluation - problem focused | 170 | 166 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 455 | 451 | $6K |
| D2740 | Crown - porcelain/ceramic | 12 | 12 | $5K |
| D2394 | 19 | 13 | $4K | |
| D2950 | 26 | 24 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | 141 | 138 | $3K |
| D1206 | Topical application of fluoride varnish | 112 | 112 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 62 | 62 | $771.38 |